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Organization

SOMERVILLE DIALYSIS CENTER LLC

Active
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Organization

SOMERVILLE DIALYSIS CENTER LLC

Active
Other names
Galleria Home Training Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
9045 US HIGHWAY 64, STE 102, LAKELAND, TN 38002-8394
(901) 213-2955
(901) 213-1724
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0442678
TN
05
08377719
MS
05
177215134
AR
Enumeration date
02/08/2008
Last updated
07/21/2026
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